Provider Demographics
NPI:1619656311
Name:LOVETT, LYNDSEY R
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:R
Last Name:LOVETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:R
Other - Last Name:BIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1507 QUEENSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-6651
Mailing Address - Country:US
Mailing Address - Phone:330-510-9629
Mailing Address - Fax:
Practice Address - Street 1:1507 QUEENSTOWN RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-6651
Practice Address - Country:US
Practice Address - Phone:330-510-9629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034367363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily